Chin Liposuction of Facetite + Morpheus8? How can I achieve this result? (Photo)

Question

35 y.o. female 115 lbs. Within years I developed fat under my chin and on my lower cheeks which makes my face look heavier, older and no defined jawline. Ultherapy helped a little but nothing drastic. I’m thinking about Vaser chin lipo at this point or a combination of Facetite + Morpheus8. First two pics is my chin now and the last is my goal (my chin 15 years ago). How can I achieve this result? Or will I have to go through platysma plasty? Also can I do under local anesthesia? Thank you!

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for posting your questions and photos. You would have good results with FaceTite applied to the neck. I perform liposuction as part of the procedure. It can be done under local anesthesia with minimal downtime. By doing this you avoid the scar of a neck lift, and the cost and recovery associated with general anesthesia. Hope this helps!
Best,Dr. Tower

William Portuese, MD · Answer

If you're looking for a significant improvement, the non-invasive treatments simply cannot accomplish what surgical procedures can do. Liposuction of the neck, will address removal of only the fat deposits above the muscle. If you have any fat deposits below the muscle, that will require a neck lift.  A platysma plasty will also significantly improve your jawline.

Darryl J. Blinski, MD · Answer

Nicely posted photos. Recommend Y-Lift HA jaw fillers with sub mental lipo and J-Plasma with My Ellevate suture to neck bands. F33 $10,000+ Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics related to the lower 1/3 of the face are typically related to facial, skeletal structure of the mandible and its relationship to the midface or maxilla.
In your case, the body of the mandible is lacking insufficient projection, and this causes the underlying platysma muscle, to drape the neck in the more oblique fashion.
You don’t have an abnormal fat distribution and fat is not the underlying cause or problem.
 That said well done Liposuction, especially in chubby people can give potentially good improvements though it doesn’t address the primary problem.
Your chin has fairly good projection, but you must likely have an overbite dental occlusion and profile pictures. Your upper lip has substantially more forward projection than your lower lip, indicating that there is an imbalance between the mandible and Maxilla. This is not a problem, per se, and lots of people have this facial structure. It is, however, deleting cause for developing premature double chins, loss of jawline, definition, and development of premature jowls. 
Recognize that soft tissue solutions to skeletal problems are at best going to give partial improvements.
A facelift will address skin, subcutaneous, fat, and the plum muscle, all of which contribute to problems in this part of the face.
That procedure is also the most involved and has certain drawbacks.
A Facelift treats the lower 1/3 of the face and neck.
Getting a quality assessment for this area is complex and for that reason, you should expect different providers to have different opinions and you may be offered very different treatment options in regards to what will work and what will not work.
That is often the case when cheating the underlying primary problem is complex or difficult.
 to start the process of getting a quality assessment and finding the right provider I suggest having multiple in person consultations with providers in your community.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who have very similar facial characteristics to your own.
This is the best way to get a good understanding of what your results are likely to look like.
An experience provider should have no difficulty showing you The before, and after pictures of at least 50 previous patients for commonly performed procedures.
Being shown a handful of pre-selected images, representing only the best results of the providers career is probably insufficient to get a clear understanding of what results will look like in the hands of that provider, what your results are likely to look like or how many of those procedures anyone provider has actually performed.
I don’t think nonsurgical options are going to do much of anything for you. I’m not impressed by what I see from Facetite or Renuvion. I would probably skip radio frequency treatments entirely unless money is of non-concern and you feel like trying things that may not work.
Best,
Matt Hagstrom, MD

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